ENDOSCOPIC NASOPANCREATIC DRAINAGE WAS EFFECTIVE ON PANCREATIC ABSCESS AFTER SEVERE ACUTE PANCRETATITIS WITH PNEUOMORETROPERITONEUM : A CASE REPORT

Abstract

A 66-years-old-woman with abdominal pain was admitted. We diagnosed it as severe acute pancreatitis from findings of CT Grade IV. Pneumoretroperitoneum was recognized on the tertiary disease day and progressed gradually. On the 18^th disease day, we punctuated it, and pus was absorbed. Percutaneous abscess drainage was performed. Because the amylase value in pus was high, we suspected that pancreatic duct was disrupted and confirmed it on ERCP. ENPD was placed and abscess drainage reduced immediately afterwards. This case suggests that ERCP may be useful for controlling a pancreatic abscess after severe acute pancreatitis.